Intuitive Eating Market Research App

Healing Relationships with Food & Our Bodies:

Market Research User Request Form

Thank you for filling out this application for my market research study on healing relationships with food and our bodies.

Important Info: I may or may not call you to participate in the study after you fill out this form. However, you will receive access to a free intuitive eating workshop! Details to follow in the response email to this form.

Please note: Your name will be kept confidential for everything you share in this form.

Check this box if you would you like to join me for my free intuitive eating workshop on November 25th at 7pm Israel time/ 12 pm New York time (it is only offered to those who fill out and submit this form)?

Check this box to consent to receiving emails from me. This form allows me to collect info and keep you updated about future offerings and other wellness content.

Please check this box to agree to the following terms: Jennifer is a Holistic Health Coach. Her role as a Health Coach is not to prescribe or assess micro- and macronutrient levels; provide health care, medical or nutrition therapy services; or to diagnose, treat or cure any disease, condition or other physical or mental ailment of the human body. Rather, she is a mentor and guide who has been trained in holistic health coaching to help people reach their own health goals by devising and implementing positive, sustainable lifestyle changes. She is not acting in the capacity of a doctor, licensed dietician-nutritionist, psychologist or other licensed or registered professional, and any advice given by her is not meant to take the place of advice by these professionals. That being said, please consult your physician, mental health provider, or dietitian regarding support or advice for your well being and health. The information provided in this call does not constitute the formation of a client-dietitian relationship. The information shared is general information and for education only.